International Journal of Clinical Practice最新文献

{"title":"Ultrasonographic Measurements of Femoral Cartilage Thickness in Women With Symptomatic Joint Hypermobility: A Controlled Study","authors":"Tuğçe Yavuz Mollavelioğlu,&nbsp;Nurdan Paker,&nbsp;İlhan Karacan,&nbsp;Levent Özçakar","doi":"10.1155/ijcp/9615146","DOIUrl":"https://doi.org/10.1155/ijcp/9615146","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> The goal of this study was to measure femoral cartilage thickness in patients with symptomatic joint hypermobility (SJH) using ultrasound (US) imaging.</p>\u0000 <p><b>Methods:</b> This cross-sectional study comprised 42 female patients diagnosed with SJH (Beighton score &gt; 3) and 42 age-matched healthy controls. Ultrasonographic measurements of bilateral femoral cartilage thickness were conducted in three areas: medial, intercondylar, and lateral, while the patients were in a supine position with their knees fully flexed. The Numeric Pain Rating Scale and the Turkish version of the Knee Injury and Osteoarthritis Outcome Score were used to evaluate pain and functional status in the SJH group.</p>\u0000 <p><b>Results:</b> The mean age was 28.0 ± 7.1 years in the study group and 28.5 ± 7.2 years in the control group. The right medial, left medial, left intercondylar, and left lateral femoral cartilage thicknesses of patients in the SJH group were significantly thinner than those of patients in the control group (<i>p</i> &lt; 0.05). There was no significant difference in femoral cartilage thickness, pain, and functional scores between patients with and without knee hypermobility within the SJH group (<i>p</i> &gt; 0.05). A negative correlation was observed between femoral cartilage thickness and age, which was identified as an independent predictor of femoral cartilage thickness in SJH (<i>p</i> &lt; 0.05).</p>\u0000 <p><b>Conclusion:</b> Femoral cartilage thickness was significantly reduced on the right/left medial, left intercondylar, and left lateral sides in women with SJH compared to healthy subjects. Furthermore, age appears to be an important determinant of femoral cartilage thickness.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/9615146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Analysis of the Gut Microbiota in Patients With Parkinson’s Disease Worldwide: A Systematic Review","authors":"Mira Beisembayeva,&nbsp;Yelena Shayakhmetova,&nbsp;Shynar Muratbekova,&nbsp;Irina Li,&nbsp;Eduard Yakupov,&nbsp;Rauan Kaiyrzhanov,&nbsp;Marina Grigolashvili","doi":"10.1155/ijcp/5511146","DOIUrl":"https://doi.org/10.1155/ijcp/5511146","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> Parkinson’s disease (PD) is a neurodegenerative disease associated with the gut microbiome.</p>\u0000 <p><b>Objective:</b> Conducting a comparative analysis of the intestinal microbiome in PD patients from different geographical regions.</p>\u0000 <p><b>Methods:</b> Two researchers conducted a systematic literature review of the Web of Science, PubMed, and Scopus databases, using specific search terms and defined inclusion and exclusion criteria to select studies. This is the first systematic review that conducted an analysis of the gut microbiota of PD patients from all continents.</p>\u0000 <p><b>Results:</b> The α-diversity of PD patients does not differ significantly from healthy individuals in Europe and America, in contrast to Asia and Australia. β-Diversity varies among PD patients in different continents. In all regions, there has been an increase in <i>Proteobacteria</i> and Lactobacillaceae and a decrease in Lachnospiraceae and <i>Roseburia</i>. In Europe, Asia, and America, PD patients have shown an increase in Bifidobacteriaceae, <i>Desulfovibrio</i>, <i>Verrucomicrobia, Bilophila</i>, and <i>Akkermansia</i> and a decrease in <i>Lachnospira</i>. In Asia, America, and Australia, there has been a decrease in <i>Fusicatenibacter</i> and Lachnospiraceae <i>ND3007</i>, while in Europe, America, and Australia, there has been a reduction in <i>Butyricicoccus</i>.</p>\u0000 <p><b>Conclusions</b>: There were no consistent patterns in the changes in α- and β-diversities of the gut microbiota among PD worldwide. Across all continents, there was an increase in <i>Proteobacteria</i> and Lactobacillaceae and a decrease in Lachnospiraceae and <i>Roseburia</i>. Despite these similar trends, there were also differences that may be attributed to factors such as ethnic background, geography, and dietary habits. These differences suggest that individualized approaches to treatment may be necessary to effectively manage PD-related gastrointestinal symptoms.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/5511146","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Synergistic Impact of 25-Hydroxyvitamin D Level and Obesity on the Risk of Metabolic Syndrome","authors":"Tsui-Yen Chang,&nbsp;Jong-Dar Chen","doi":"10.1155/ijcp/6634233","DOIUrl":"https://doi.org/10.1155/ijcp/6634233","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The global increase in the prevalence of metabolic syndrome (MetS), which is defined by impaired glucose homeostasis, visceral obesity, hypertension, and dyslipidemia, presents a significant health concern. Obesity is a primary risk factor for MetS, and low vitamin D levels have been linked to several metabolic disorders. Given the high prevalence of vitamin D deficiency among individuals with obesity, this study examined the combined influence of vitamin D deficiency and obesity on the risk of MetS.</p>\u0000 <p><b>Methods:</b> This cross-sectional study was conducted from January 2021 to December 2022 at Shin Kong Memorial Hospital. A total of 7248 participants underwent physical examinations, including measurements of fasting glucose levels, lipid profiles, and serum 25-hydroxyvitamin D levels. Participants were categorized into six groups according to vitamin D status (deficiency &lt; 50 nmol/L, insufficiency 50–74.9 nmol/L, and sufficiency ≥ 75 nmol/L) and body mass index (BMI; nonobese &lt; 27 kg/m² and obese ≥ 27 kg/m²).</p>\u0000 <p><b>Results:</b> Vitamin D levels were significantly lower in younger patients, women, those with BMI ≥ 27 kg/m², and those who engaged in exercise less frequently. Patients with vitamin D sufficiency and without obesity constituted the reference group. Vitamin D level was inversely associated with MetS (odds ratio [OR] = 1.7 and 95% confidence interval [CI]: 1.4–2.0), with a stronger association in individuals with obesity (OR = 9.2 and 95% CI: 7.9–10.7). The highest risk was observed in patients with both vitamin D deficiency and obesity (OR = 13.7). Vitamin D deficiency and obesity were found to synergistically influence MetS (synergy index: 1.3 and 95% CI: 1.0–1.7). Notably, the association between vitamin D deficiency and MetS was nonsignificant in patients without obesity.</p>\u0000 <p><b>Conclusions:</b> Both vitamin D deficiency and obesity are independently associated with MetS, with a synergistic effect observed when both conditions are present.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/6634233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143689452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focus on Visceral Fat Screening in Nonobese Patients With Type 2 Diabetes to Prevent Nonalcoholic Fatty Liver","authors":"Wei-hua Sun,&nbsp;Lu-lu Yang,&nbsp;Chen-chen Wu,&nbsp;Wen-di Zhao,&nbsp;Li Xue","doi":"10.1155/ijcp/4278518","DOIUrl":"https://doi.org/10.1155/ijcp/4278518","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To identify risk factors associated with nonalcoholic fatty liver disease (NAFLD) in patients with type 2 diabetes (T2DM) and provide a basis for improved prevention and treatment strategies for NAFLD.</p>\u0000 <p><b>Methods:</b> A total of 156 hospitalized patients with T2DM were enrolled and divided into NAFLD and non-NAFLD groups (75 and 81 patients, respectively) based on the ultrasonic diagnosis results. Biochemical data were collected from all patients. A bioelectrical impedance analyzer (OMRON, HDS-2000 DUALSCANR) was used to analyze visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT) in the abdomen. Statistical analyses were conducted using SPSS 22.0 software.</p>\u0000 <p><b>Results:</b> Statistically significant differences were observed between the NAFLD and non-NAFLD groups in body weight, body mass index (BMI), waist and hip circumference (WC and HC), waist-to-hip ratio (WHR), fasting C-peptide (FCP), alanine aminotransferase (ALT), gamma-glutamyl transpeptidase (GGT), total triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), apolipoprotein B (apoB), superoxide dismutase (SOD), free fatty acids (FFA), VAT, and SAT (all <i>p</i> &lt; 0.05). VAT was positively correlated with BMI (<i>r = </i>0.703, <i>p</i> &lt; 0.001), WC (<i>r = </i>0.685, <i>p</i> &lt; 0.001), HC (<i>r = </i>0.547, <i>p</i> &lt; 0.001), SAT (<i>r = </i>0.774, <i>p</i> &lt; 0.001), TG (<i>r = </i>0.365, <i>p</i> &lt; 0.001), FCP (<i>r = </i>0.287, <i>p</i> &lt; 0.001), ALT (<i>r = </i>0.282, <i>p</i> &lt; 0.001), and GGT (<i>r = </i>0.273, <i>p</i> = 0.001) and negatively correlated with HDL-C (<i>r = </i>−0.201, <i>p</i> = 0.012). Multivariable logistic regression analysis indicated that VAT and FFA are independent influencing factors for NAFLD (<i>p</i> &lt; 0.01). A receiver operating characteristic curve showed that the sensitivity and specificity of VAT for predicting NAFLD in T2DM were 88.0% and 57.8%, respectively.</p>\u0000 <p><b>Conclusions:</b> VAT and FFA are independent risk factors for NAFLD in patients with T2DM, with VAT serving as a reliable predictor for NAFLD screening. Screening for NAFLD should not be limited to overweight or obese individuals; attention should also be given to nonobese and lean patients.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/4278518","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nomogram for Prediction of Isolated Calf Deep Vein Thrombosis in Internal Medicine Patients","authors":"Yutao Wang,&nbsp;Xue Pang,&nbsp;Ming Liu","doi":"10.1155/ijcp/2015063","DOIUrl":"https://doi.org/10.1155/ijcp/2015063","url":null,"abstract":"<div>\u0000 <p>This study aims to construct a nomogram anticipating the occurrence of isolated calf deep vein thrombosis (ICDVT), specifically in patients receiving internal medicine care. This case-control study enrolled 610 internal medicine patients admitted to the Jinan Municipal Hospital of Traditional Chinese Medicine between December 2019 and July 2022. Of the total number of patients who participated in the study, 147 were assigned to the ICDVT group, whereas 463 were assigned to the non-ICDVT group. The least absolute shrinkage and selection operator (LASSO) regression was employed to perform feature selection. A prediction model was constructed using a multivariable logistic regression analysis. The validity and practicality of the nomogram were assessed using several statistical measures, including concordance index (C-index), receiver operating characteristic (ROC) curve, calibration curve, and decision curve analysis (DCA). Gender, age, D-dimer, and diabetes mellitus were correlated with the presence of ICDVT in the considered internal medicine patients. The predictive nomogram revealed acceptable performance with a C-index of 0.883 (95% confidence interval [CI]: 0.822–0.914) in the internal verification. The area under the ROC curve was 0.883 (95% CI: 0.853–0.914), and the Hosmer–Lemeshow goodness-of-fit <i>p</i> value was 0.888. DCA findings indicated that the ICDVT nomogram exhibited a favorable clinical net benefit. The created nomogram has the potential to help clinicians identify high-risk groups of ICDVT among patients in the field of internal medicine, thus enabling early intervention strategies.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/2015063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143629823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lymphocyte-to-Monocyte Ratio as a Prognostic Biomarker for Acute Myocardial Infarction: A Systematic Review and Meta-Analysis","authors":"Hanshuo Gu,&nbsp;Yian Lu,&nbsp;Jiaxin Luo,&nbsp;Zhaoshun Yuan","doi":"10.1155/ijcp/5560827","DOIUrl":"https://doi.org/10.1155/ijcp/5560827","url":null,"abstract":"<div>\u0000 <p><b>Background:</b> The prognostic value of lymphocyte-to-monocyte ratio (LMR) for acute myocardial infarction (AMI) has been underscored by multiple studies. Therefore, we initiated this meta-analysis to examine the correlation between LMR and prognostic outcomes in patients with AMI.</p>\u0000 <p><b>Methods:</b> A comprehensive literature search was conducted across multiple databases, including Embase, PubMed, Web of Science, and the Cochrane Library, covering the period from the inception of the databases to October 24, 2024, focusing on studies comparing mortality and/or incidence of major adverse cardiovascular events (MACEs) by the pooled odds ratios (ORs) and respective 95% confidence intervals (CIs) between different LMR levels in AMI patients.</p>\u0000 <p><b>Results:</b> Our meta-analysis encompasses 11 studies and involves a total of 7719 patients. The results indicate that individuals in the lower LMR group exhibit notably elevated mortality rates (OR = 2.43, 95% CI: 1.46–4.04, and <i>p</i> = 0.0006) and increased incidence of MACE (OR = 1.57, 95% CI: 1.27–1.95, and <i>p</i> = 0.0001) compared with those with high LMR. Subgroup analysis further reveals that lower LMR correlated with higher mortality and MACE in the context of confounding factors such as the sample size and cutoff value.</p>\u0000 <p><b>Conclusion:</b> Our meta-analysis confirms the prognostic value of LMR in AMI patients. Lower LMR levels correlate with elevated mortality and increased incidence of MACE. This implies the clinical potential of LMR as an effective prognostic biomarker aiding in better risk assessment, personalized treatment strategies, and improved clinical outcomes.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/5560827","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Knowledge of Undergraduate College Students During the COVID-19 Global Pandemic","authors":"Janie R. Robinson,&nbsp;Glenda Daniels,&nbsp;Jacquelyn S. Pennings,&nbsp;Jermaine Rucker","doi":"10.1155/ijcp/5545760","DOIUrl":"https://doi.org/10.1155/ijcp/5545760","url":null,"abstract":"<div>\u0000 <p>Health knowledge and health literacy are key factors that influence health promotion and disease prevention. During the COVID-19 pandemic, undergraduate college students were faced with multiple stressors that influenced their health. Health knowledge and health literacy could have improved their overall health outcomes. The purpose of this study was to explore health perceptions, health behaviors, the impact of the COVID-19 pandemic, general health knowledge, and understanding of health disparities in undergraduate college students. Students were recruited through the university’s email. An online Qualtrics survey was distributed through the email system to a stratified random sample. Two-hundred eleven students participated in the study. The majority of respondents were female (71.5%) and Caucasian (61.1%) and reported excellent or good physical health (80.6%). However, over 40% reported only fair/poor mental health (44.3%). Nonwhite students had 2.2 times higher odds of not having had a well-visit within the past 2 years. Students with lower parental income had higher odds of reporting a negative financial impact of the COVID-19 pandemic. Increased stress, mental health issues, social isolation, and financial issues were the most reported effects of the COVID-19 pandemic. Students expressed that discussing mental health was uncomfortable, and there is a stigma associated with mental illness. Students who were older than 21 years of age displayed a higher health knowledge than younger students. Almost half of the students demonstrated a basic knowledge of the definition of health disparities. While a majority of the students in this study engaged in healthy behaviors, the findings revealed that there was a reluctance to express feelings of mental health. This reluctance could lead to mental distress. Therefore, university programs are needed to assist students with discussing mental health and identifying appropriate resources. Understanding health can decrease stressors related to illness and can improve mental and physical health in the long term.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/5545760","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In the Third Year of the COVID-19 Pandemic, the Worry of Applying to the Prosthodontics Clinic or Transmitting COVID-19 to Relatives Can Cause Anxiety/Depression and Not Being Able to Wear a Mask During Treatment Can Also Cause Anxiety","authors":"Hatice Lamia Elif Sagesen,&nbsp;Sezgi Cinel Sahin,&nbsp;Cagri Koyal","doi":"10.1155/ijcp/8888157","DOIUrl":"https://doi.org/10.1155/ijcp/8888157","url":null,"abstract":"<div>\u0000 <p><b>Objective:</b> To evaluate the anxiety and depression levels and the factors affecting them in the patients who applied to the Prosthodontics Clinic during the end of the pandemic process with the ‘Hospital Anxiety and Depression Scale (HADS)’.</p>\u0000 <p><b>Methods:</b> To determine the symptoms of anxiety and depression, probable cause questions and the “Turkish version of the HADS” were applied to the volunteers who applied to the Prosthodontics Clinic. In the study, independent groups t- and one-way ANOVA tests were used to compare the data according to the groups, the Chi-square test was used for the relationships between group variables, and logistic regression analysis was used to determine the factors affecting anxiety and depression.</p>\u0000 <p><b>Results:</b> A total of 194 volunteers (96 male, 98 female) were included in the study. Of the participants, anxiety was detected in 42.3%, depression was detected in 58.8%, and the HADS average was measured as 15.97 ± 7.66. In the depression score classification, the difference between the depression scores of nonsmoking participants (7.8 ± 4.03) and smokers (9.07 ± 3.36) was found to be statistically significant (<i>p</i> = 0.036). Applying to the prosthodontics clinic during the period when pandemic measures were reduced (OR = 2.158) and the possibility of transmitting COVID-19 to relatives (OR = 1.816), and removing the mask during examination and treatment (OR = 2.245) were factors that increased the risk of anxiety. Applying to the prosthodontics clinic (OR = 2.757), the possibility of transmitting COVID-19 to relatives (OR = 1.653) were factors that increased the risk of depression in participants.</p>\u0000 <p><b>Conclusion:</b> In the third year of the pandemic, we can assume that patients who have not had COVID-19 and were smokers who applied to the prosthodontics clinic are more prone to depression. Also, it can be said that application to the prosthodontics clinic during this period and the worrying about transmitting COVID-19 to relatives are both anxiety and depression-increasing factors. Removing the mask during examination and treatment is an anxiety-increasing factor.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/8888157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143564917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Diagnoses According to ICD-10 and ICPC-2 in Family Medicine Practice: A Retrospective Study","authors":"Olgun Göktaş","doi":"10.1155/ijcp/7146424","DOIUrl":"https://doi.org/10.1155/ijcp/7146424","url":null,"abstract":"<div>\u0000 <p><b>Introduction:</b> After the International Statistical Classification of Diseases and Related Health Problems, briefly ICD (ICD-10), the World Health Organization (WHO) accepted the International Classification of Primary Care (ICPC-2) as a reason for encounter classification of diagnoses in primary healthcare services. The study aimed to assess the degree of alignment between diagnoses encoded with the ICD-10 and, those coded using the ICPC-2.</p>\u0000 <p><b>Materials and Methods:</b> We collected the diagnoses coded with the ICD-10 of 42,782 patients registered in the Uludağ University Family Health Center, Bursa, Turkey. The ICD-10 codes were converted to ICPC-2 codes with the program in the family medicine information registration system. Diagnoses in the database were analyzed. <i>p</i> values less than 0.05 were considered significant in the study. Analyses were made with the SPSS 25.0 package program.</p>\u0000 <p><b>Results:</b> Of the 42,782 diagnoses with codes in ICD-10, a total of 218 diagnoses (0.51%) did not have an equivalent in ICPC-2. On the other hand, it was determined that a total of 463 diagnoses (1.08%) in ICD-10 had 2 or more codes in ICPC-2.</p>\u0000 <p><b>Conclusion:</b> According to our results in family medicine practice, the equivalents of ICD-10 and ICPC-2 codes were different in number and percentage. It is ideal for individual health and research that the diagnosis codes in family medicine are the same as the codes in other secondary and tertiary care clinics. Since health requires holisticity, we recommend that both classifications be integrated and revised to be globally understandable and provide complementary coding in different clinical applications.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/7146424","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Major Etiologies of Male Infertility Among Couples Attending Fertility Clinics in Osun State, Nigeria: Findings From a Mixed-Method Study","authors":"Kehinde Awodele,&nbsp;Sunday Charles Adeyemo,&nbsp;Eniola Dorcas Olabode,&nbsp;Adeniyi Olanipekun Fasanu,&nbsp;Akintunde Rasaq Akindele,&nbsp;Segun Adegboyega Afolabi,&nbsp;Funso Abidemi Olagunju,&nbsp;Olusegun Oyerinde,&nbsp;Lanre Olaitan","doi":"10.1155/ijcp/7884777","DOIUrl":"https://doi.org/10.1155/ijcp/7884777","url":null,"abstract":"<div>\u0000 <p>Male infertility accounts for nearly half of the infertility cases globally. Seminal fluid analysis (SFA) is a critical diagnostic tool in the evaluation of male infertility. This study aimed to assess the implications of SFA on male infertility among patients attending fertility clinics in Osogbo, Nigeria. The study employed a mixed-method approach of both qualitative (key informant interview [KII]) among 10 participants and quantitative methods (cross-sectional survey) using a pretested structured questionnaire among 305 respondents. The respondents in the cross-sectional survey were also made to undergo SFA. The data from the qualitative study were analyzed using ATLAS.ti, while the data from the quantitative study were analyzed using IBM Statistical Product for Service Solution (SPSS) version 27.0. Descriptive statistics was carried out for all variables. The univariate, bivariate, and multivariate analyses were done using <i>p</i> &lt; 0.05 as the level of significance. The SFA of the respondents revealed that 241 (79.0%) had normal sperm counts (&gt; 32 million per ejaculation), while 64 (21.0%) had abnormal sperm counts. Only 101 (33.1%) had sperm cells with normal progressive motility (&gt; 32%), while 204 (66.9%) had abnormal (Athenospermia) progressive motility. One hundred and ninety-five (63.9%) were found to have abnormal morphology (Teratospermia, i.e., &lt; 4%). The analysis of the data from the KII further explained the implications of SFA parameters on infertile males, and these were substantial, extending beyond physical health to encompass psychological, emotional, and social well-being. The study concluded that lifestyle modifications, early diagnosis, and prompt treatment of medical conditions can help reduce the high prevalence of SFA abnormalities and, consequently, decrease male infertility in our environment. This study recommends that advocacy programs, early screening, and public health education will further reduce the burden of infertility among the men.</p>\u0000 </div>","PeriodicalId":13782,"journal":{"name":"International Journal of Clinical Practice","volume":"2025 1","pages":""},"PeriodicalIF":2.2,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/ijcp/7884777","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143489926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}